Provider Demographics
NPI:1750632303
Name:ALVARADO, NANCY
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 LAS VEGAS BLVD N APT 1055
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-1525
Mailing Address - Country:US
Mailing Address - Phone:702-524-5473
Mailing Address - Fax:
Practice Address - Street 1:3330 LAS VEGAS BLVD N APT 1055
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-1525
Practice Address - Country:US
Practice Address - Phone:702-524-5473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-23
Last Update Date:2012-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty